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Illinois rates for HCPCS L5950

Addition, endoskeletal system, above knee (AK), ultra-light material (titanium, carbon fiber or equal)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $457.09 / $954.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $537.03 / $954.99
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $741.31 / $954.99
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $1,819.70 / $6,456.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $707.95 / $707.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $588.84 / $1,122.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $426.58 / $1,071.52
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,096.48 / $1,348.96
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $1,202.26 / $1,202.26
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $489.78 / $707.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $741.31 / $1,513.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $467.74 / $776.25